Indiana’s Medicaid Expansion — Designed by Pence and Verma — Panned in Federal Report
Indiana’s program seeks to give expansion enrollees “skin in the game,” requiring that they pay small monthly premiums and manage health savings accounts.
CMS
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Under New Cost-Cutting Medicare Rule, Same Surgery, Same Place, Different Bill
A Trump administration Medicare rule will push some hospital patients into a Catch-22: The government says several hundred procedures no longer need to be done in a hospital, but it did not approve them to be performed elsewhere. So patients will still need to use a hospital while not officially admitted — and may be charged more out-of-pocket for the care.
By Susan Jaffe -
Medicare Cuts Payment to 774 Hospitals Over Patient Complications
Renowned medical centers are among the quarter of general hospitals that will lose 1% of Medicare payments for one year because their patients have high rates of bedsores, sepsis and other preventable complications.
By Jordan Rau -
KHN’s ‘What the Health?’: The Long Road to Unwinding Trump Health Policies
President Joe Biden signed a pair of health-related executive orders this week that would, among other things, reopen enrollment under the Affordable Care Act and start to reverse former President Donald Trump’s anti-abortion policies. Meanwhile, Congress remains bogged down with taking up the next round of covid-19 relief. Joanne Kenen of Politico, Mary Ellen McIntire of CQ Roll Call and Shefali Luthra of The 19th join KHN’s Julie Rovner to discuss these issues and more. Plus, for “extra credit,” the panelists recommend their favorite health policy stories of the week they think you should read, too.
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Trump Administration Approves First Medicaid Block Grant, in Tennessee
The plan, long endorsed by conservatives, would give the state broad authority in running the health insurance program for the poor in exchange for capping its annual federal funding.
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‘An Arm and a Leg’: Obamacare Alum Andy Slavitt Takes Stock of the COVID Pandemic — So Far
On the latest episode of ‘An Arm and a Leg’: Come for insights from an Obama administration health policy leader, stay to hear how frank health policy conversations can get uncomfortable.
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Feds Approve Fractious Georgia Plan to Change ACA Marketplace
Under the plan pushed by Gov. Brian Kemp, the healthcare.gov website will no longer provide options for Georgia starting next fall, and consumers will need to rely on private brokers, insurance companies, agents and commercial websites.
By Jordan Rau -
Medicare Fines Half of Hospitals for Readmitting Too Many Patients
The penalties are the ninth round of a program created as part of the Affordable Care Act’s broader effort to improve quality and lower costs. The average reduction in federal payments is 0.69%, with 613 hospitals receiving a penalty of 1% or more.
By Jordan Rau -
The Trump Medicaid Record: Big Goals, Yet Few Successes
The Trump administration sought to shrink the federal-state health program for low-income Americans and give states more flexibility. But Democrats and the courts thwarted most of those efforts.
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Rural Hospitals Teeter on Financial Cliff as COVID Medicare Loans Come Due
A lack of direction from federal administrators is causing confusion for many hospital administrators. Rural hospitals are among the ones hit hardest.
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KHN’s ‘What the Health?’: It’s Scandal Week
President Donald Trump this week issued a prescription drug pricing order unlikely to lower drug prices, and he contradicted comments by his director of the Centers for Disease Control and Prevention on the need for mask-wearing and predictions for vaccine availability. Meanwhile, scandals erupted at the CDC, the Centers for Medicare & Medicaid Services and the Food and Drug Administration. And the number of people without health insurance grew in 2019, reported the Census Bureau, even while the economy soared. Alice Miranda Ollstein of Politico, Tami Luhby of CNN and Sarah Karlin-Smith of the Pink Sheet join KHN’s Julie Rovner to discuss this and more. Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read, too.
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HHS Plan to Improve Rural Health Focuses on Better Broadband, Telehealth Services
The proposal details a wide-ranging agenda to remedy the gaps in health care and myriad challenges in rural America. In addition to more telehealth options, it includes shifts in hospital payments and expanded funding for school-based mental health programs.
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The COVID-19 Downturn Triggers Jump in Medicaid Enrollment
For the first time since 2017, Medicaid enrollment has begun increasing again, but not by as much as many analysts expected.
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Must-Reads Of The Week
KHN senior correspondent Jordan Rau takes a spin through this week's essential health care news.
By Jordan Rau -
Must-Reads Of The Week From Brianna Labuskes
Newsletter editor Brianna Labuskes wades through hundreds of health care policy stories each week, so you don't have to.
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To ‘Keep The Lights On,’ Doctors And Hospitals Ask For Advance Medicare Payments
As part of the federal response to the coronavirus crisis, Medicare is offering to give hospitals and doctors accelerated payments.
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Pandemic Delays Federal Probe Into Medicare Advantage Health Plans
Government officials want to focus on fighting COVID-19 instead of recouping overcharges that run into the millions.
By Fred Schulte -
Must-Reads Of The Week From Brianna Labuskes
Newsletter editor Brianna Labuskes wades through hundreds of health care policy stories each week, so you don't have to.
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More Than 5,000 Surgery Centers Can Now Serve As Makeshift Hospitals During COVID-19 Crisis
Under pressure, the federal government announced it will let surgery centers, hotels and even college dorms serve as hospitals to treat an overflow of patients.
By Liz Szabo and Cara Anthony -
The Nation’s 5,000 Outpatient Surgery Centers Could Help With The COVID-19 Overflow
A coalition of anesthesiologists wants to repurpose the country's more than 5,000 surgery centers to serve as emergency overflow amid the coronavirus pandemic. The centers have trained medical staff largely sitting idle, anesthesia machines that could be turned into ventilators, and empty medical space. But obstacles such as federal payment rules, logistics and some skepticism are getting in the way.
By Cara Anthony and Liz Szabo